- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,631.60 / $53,150.80 / $69,395.80
| Facility | | $25,631.60 | $53,150.80 | $69,395.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $48,537.55 / $129,974.05
| Facility | | $5,840.42 | $48,537.55 | $129,974.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,031.95 / $49,658.48 / $75,034.56
| Facility | | $30,031.95 | $49,658.48 | $75,034.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,520.16 / $70,520.16 / $70,520.16
| Facility | | $70,520.16 | $70,520.16 | $70,520.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,270.17 / $50,026.45 / $77,252.59
| Facility | | $43,270.17 | $50,026.45 | $77,252.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $48,537.55 / $129,974.05
| Facility | | $5,840.42 | $48,537.55 | $129,974.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $48,537.55 / $101,575.87
| Facility | | $5,840.42 | $48,537.55 | $101,575.87 |